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eve <br />ei <br />City of Everett <br />Sewer Application and Permit <br />No. 23334 11 (; <br />�"J- <br />Service Addres! <br />Billing Address <br />City, State, Zit <br />Owner (Mortgz <br />Billing Name_ <br />Connection By <br />DATE /0—//- ; _ <br />Address <br />Phone ---- <br />DESCRIPTION: <br />Lot _ Block -- <br />Plat — <br />Unplatted Descrip- on <br />Type Permit: <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART NO <br />Utility Account No. -- <br />Permit Fee <br />Connection Charge(s) <br />�v <br />Total Fee_ <br />Signed <br />Custompr <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />INSPECTION <br />Abutting Lot Lina <br />N, S, E, W <br />Approved By_� ���—� rC' <br />Cit ngineer <br />Issued By <br />Inspection By <br />Date Inspected <br />No. 23334 <br />